MED-TRANS CORPORATION (NPI# 1083868517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083868517 |
| Entity Type | Organization |
| Organization Name | MED-TRANS CORPORATION |
| Other Organization Name | UT LIFESTAR 4 |
| Practice Address |
588 Memorial Lane Jacksboro TN 37757-0000 |
| Mailing Address |
Po Box 708 West Plains MO 65775-0708 |
| Practice Telephone | 8772885340 |
| Mailing Telephone | 8772885340 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2018-09-27 |
| Authorized Official Name | ERIC THOMAS (SVP OF REVENUE MANAGEMENT) |
| Authorized Official Telephone | 8772885340 |
| Is Organization Subpart | Y |
| Parent Organization Name | MED-TRANS CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services |
| Other Name | Type Code |
|---|---|
| UT LIFESTAR 4 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205591 | Med-trans Corporation | Ambulance | 7101 Jahnke Rd Ste 580, Richmond, VA 23225-4017 | 2020-05-04 |
| 1487280509 | Med-trans Corporation | Ambulance | 8901 Airway Blvd, New Port Richey, FL 34654-5101 | 2020-03-20 |
| 1144856402 | Med-trans Corporation | Ambulance | 2535 Rescue Way, Brooksville, FL 34604-6996 | 2020-03-19 |
| 1235762725 | Med-trans Corporation | Ambulance | 2411a Highway 11 S, Meridian, MS 39307-9562 | 2020-02-13 |
| 1861022766 | Med-trans Corporation | Ambulance | 1910 Airport Rd, Columbus, MS 39701-9574 | 2020-01-20 |
| 1023657038 | Med-trans Corporation | Ambulance | 2721 Ne Douglas St, Lee's Summit, MO 64064-2210 | 2019-12-23 |
| 1558923177 | Med-trans Corporation | Ambulance | 8926 Hangar Rd, San Angelo, TX 76904-4071 | 2019-07-03 |
| 1053873620 | Med-trans Corporation | Ambulance | 716 Tilghman Dr, Dunn, NC 28334 | 2019-04-03 |
| 1396218855 | Med-trans Corporation | Ambulance | 411 Medical Park Dr, Atmore, AL 36502-3006 | 2019-01-08 |
| 1427532951 | Med-trans Corporation | Ambulance | 540 Airport Rd, Junction City, KS 66441-4725 | 2018-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Med-Trans Corporation | 209 State Highway 121 Byp Ste 21, Lewisville, Texas 75067-4231 |
| System for Award Management (SAM) Entities | MED-TRANS CORPORATION | 209 State Highway 121 Byp, Lewisville, TX 75067-4151 |
| Colorado Business Entities | Med-Trans Corporation | 209 State Highway 121 Bypass, Suite 21, Lewisville, TX 75067 |
| Iowa Business Entities | MED-TRANS CORPORATION | 209 State Highway 121, Suite 21, Lewisville, TX 75067 |
| North Carolina Corporations | MED-TRANS CORPORATION | 106 West Jefferson St, Monroe, NC 28112 |
| Connecticut Business Registrations | MED-TRANS CORPORATION | 2200 Westcourt Road, Denton, TX 76207 |
| New York State Corporations | MED-TRANS CORPORATION | 80 State Street, Albany, New York 12207-2543 |
| Oregon Corporations, Companies and Business Names | MED-TRANS CORPORATION, A CORPORATION OF NORTH DAKOTA | 209 State Highway 121 Bypass, Ste 21, Lewisville, TX 75067 |
| Street Address |
588 MEMORIAL LANE |
| City | JACKSBORO |
| State | TN |
| Zip Code | 37757-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861809642 | Samantha Ross | Physical Therapy Assistant | 272 Gardner Lane, Jacksboro, TN 37757 | 2014-07-14 |
| 1225348493 | Summit Medical Group, Pllc | Internal Medicine | 163 Perkins Lane, Jacksboro, TN 37757 | 2010-10-20 |
| 1518112911 | Pediatric Professionals | Specialist | 136 Mountain Perkins Lane, Suite 2, Jacksboro, TN 37757 | 2008-11-26 |
| 1992804827 | Riggs Drug Store | Pharmacy | 2636 Jacksboro Pike, Jacksboro, TN 37757 | 2006-09-21 |
| 1629536362 | Jacksboro Urgent Care | Clinic/Center | 2707 Jacksboro Pike, Suite 2, Jacksboro, TN 37757 | 2019-03-12 |
| 1942598305 | Thomas Wayne Robbins | Family Medicine | 2545 Jacksboro Pike, Jacksboro, TN 37757 | 2011-07-19 |
| 1841514155 | Margaret Reid Young | Nurse Practitioner | 136 Mountain Perkins Lane, Suite 2, Jacksboro, TN 37757 | 2010-03-16 |
| 1962540880 | State of Tennessee | Public Health or Welfare | 162 Sharp Perkins Road, Jacksboro, TN 37757 | 2007-02-02 |
| 1780722975 | Wanda F Tackett | Registered Nurse | 162 Sharp Perkins Road, Jacksboro, TN 37757-0418 | 2007-02-01 |
| 1053458430 | Vida Lou Rains | Registered Nurse | 162 Sharp-perkins Road, Jacksboro, TN 37757-0418 | 2007-02-01 |
| Find all providers in zip 37757 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265077259 | Air Evac Ems, Inc. | Ambulance | 1401 Diggs Rd Ste B, Paris, TN 38242-7538 | 2019-11-13 |
| 1326681594 | Chc901 LLC | Ambulance | 2565 Horizon Lake Dr Ste 110, Memphis, TN 38133-8113 | 2019-10-21 |
| 1003394933 | Air Evac Ems, Inc. | Ambulance | 4575 Guthrie Hwy, Clarksville, TN 37040-5422 | 2018-08-02 |
| 1609374537 | East Texas Air One LLC | Ambulance | 1 Burton Hills Blvd Ste 250, Nashville, TN 37215-6195 | 2018-01-25 |
| 1497263164 | Care Med Ambulance LLC | Ambulance | 2511 Riverside Dr Ste B5, Chattanooga, TN 37406 | 2018-01-16 |
| 1659887545 | Rocky Mountain Holdings, Lcc | Ambulance | 4570 S Jefferson Ave, Cookeville, TN 38506 | 2017-12-14 |
| 1053824052 | Rocky Mountain Holdings, LLC | Ambulance | 1949 Driggs Road, Paris, TN 38242 | 2017-11-13 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1699216762 | Rocky Mountain Holdings, LLC | Ambulance | 603 Hangar Ln, Nashville, TN 37217 | 2017-03-09 |
| 1023551298 | Air Evac Ems, Inc. | Ambulance | 83 W Holley Street Ext, Parsons, TN 38363-4800 | 2016-11-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.